PMID- 28419059 OWN - NLM STAT- MEDLINE DCOM- 20180424 LR - 20220331 IS - 1473-5636 (Electronic) IS - 0960-8931 (Linking) VI - 27 IP - 4 DP - 2017 Aug TI - Late-onset nivolumab-mediated pneumonitis in a patient with melanoma and multiple immune-related adverse events. PG - 391-395 LID - 10.1097/CMR.0000000000000355 [doi] AB - Immune-related adverse effects (AEs) of PD-1 inhibitors can affect almost every organ, but the skin, intestine, lung, eye, and liver are the most commonly affected organs. Here, we present the case of a 62-year-old female patient with stage IIIc melanoma treated with nivolumab in an adjuvant setting who sequentially developed hyperthyroidism, hypothyroidism, acute hepatitis, and pneumonitis. Six months before the emergence of pneumonitis, the patient had discontinued treatment with nivolumab because of acute hepatitis. Information on pneumonitis after nivolumab discontinuation in the literature is scarce, whereas most of the cases emerge during the first 2.5 months of treatment. Patients with multiple immune-related AEs comprise a group of special interest as the identification of factors affecting the susceptibility of patients to immune-related AEs of PD-1 inhibitors may lead to a more rational use of these drugs. Human leukocyte antigen haplotype and Fcgamma receptor polymorphisms are possible targets of the relevant research. FAU - Diamantopoulos, Panagiotis T AU - Diamantopoulos PT AD - aFirst Department of Internal Medicine, National and Kapodistrian University of Athens bDepartment of Pneumology, Laikon General Hospital, Athens, Greece. FAU - Gaggadi, Maria AU - Gaggadi M FAU - Kassi, Eva AU - Kassi E FAU - Benopoulou, Olga AU - Benopoulou O FAU - Anastasopoulou, Amalia AU - Anastasopoulou A FAU - Gogas, Helen AU - Gogas H LA - eng PT - Journal Article PL - England TA - Melanoma Res JT - Melanoma research JID - 9109623 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antineoplastic Agents) RN - 31YO63LBSN (Nivolumab) SB - IM MH - Antibodies, Monoclonal/*adverse effects/pharmacology MH - Antineoplastic Agents/*adverse effects/pharmacology MH - Female MH - Humans MH - Melanoma/*drug therapy/pathology MH - Middle Aged MH - Nivolumab MH - Pneumonia/*chemically induced MH - Skin Neoplasms/*drug therapy/pathology EDAT- 2017/04/19 06:00 MHDA- 2018/04/25 06:00 CRDT- 2017/04/19 06:00 PHST- 2017/04/19 06:00 [pubmed] PHST- 2018/04/25 06:00 [medline] PHST- 2017/04/19 06:00 [entrez] AID - 10.1097/CMR.0000000000000355 [doi] PST - ppublish SO - Melanoma Res. 2017 Aug;27(4):391-395. doi: 10.1097/CMR.0000000000000355.